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Broken Collarbone (Clavicle)
What is the collarbone?
The collarbone (clavicle) is one of the main bones of the shoulder joint. It holds the shoulder up and, along with the shoulder blade (scapula) and acromioclavicular (AC) joint, provides stability and strength to the shoulder. The collarbone also protects nerves and blood vessels from the neck to the shoulder.
What causes a broken collarbone?
A broken collarbone is usually caused by direct contact to the collarbone or to the shoulder. This often occurs when playing sports such as football, wrestling, or ice hockey.
The collarbone is one of the most commonly broken (fractured) bones. Young men ages 13 to 20 break it most often. Younger children have greater chances of a broken collarbone during play.
What are the symptoms?
Symptoms of a broken collarbone include:
- Immediate pain after falling or being hit on the collarbone or in the shoulder area.
- Inability to raise the affected arm because of pain.
- A grinding feeling when trying to lift the affected arm.
The affected shoulder does not always appear out of position. But if a deformity is present, it appears as a bump or swelling along the collarbone or at the AC joint. The bone rarely breaks through the skin. But it may push the skin out, causing it to have a tent-shaped look.
A broken collarbone usually is not a serious injury. In rare cases, a broken collarbone can injure a lung or rib or pinch nerves or blood vessels. This may cause the arm to turn pale, tingle, and feel cool or numb.
How is a broken collarbone diagnosed?
Your doctor can usually diagnose a broken collarbone by asking you questions and examining you. Your doctor will check:
- The affected area and look for a lump or bump.
- Blood flow, by taking your pulse and checking your skin color and temperature.
- For damage to your nerves and blood vessels.
- How well you can move your shoulder and other joints.
- The muscle strength of your shoulder.
Your doctor will usually do an X-ray to pinpoint the location and severity of the break.
How is it treated?
Many broken collarbones heal on their own. If you don't need surgery, you will use a sling to keep your arm and shoulder from moving while the bone heals. An adult wears a sling for a few days or up to a week. A child may need one for 3 to 4 weeks.
You can begin simple exercises immediately and move on to strengthening exercises when they don't cause pain. Ask your doctor when it is safe to begin to exercise. If you start too soon, the broken collarbone may not heal well. If you are active, do not play sports or other activities until you can move your shoulder easily and it feels strong.
To help relieve pain, try acetaminophen or a nonsteroidal anti-inflammatory drug, such as ibuprofen or naproxen.
Surgery may be recommended for severe breaks. When the ends of the broken bone do not line up with each other (displaced), surgery is more likely. Many experts believe surgery is especially important in young, active people.
After surgery, you will use a sling for up to 6 weeks. Your doctor or physical therapist will teach you gentle exercises to keep your shoulder moving for about 6 weeks, until you can start exercises to get your strength back. Most people have returned to all their activities by 3 months after surgery.1
Other Places To Get Help
|American Academy of Orthopaedic Surgeons (AAOS)|
|6300 North River Road|
|Rosemont, IL 60018-4262|
The American Academy of Orthopaedic Surgeons (AAOS) provides information and education to raise the public's awareness of musculoskeletal conditions, with an emphasis on preventive measures. The AAOS website contains information on orthopedic conditions and treatments, injury prevention, and wellness and exercise.
|American Physical Therapy Association|
|1111 North Fairfax Street|
|Alexandria, VA 22314-1488|
The American Physical Therapy Association is a national organization representing nearly 70,000 physical therapists, physical therapist assistants, and students. Its goal is to foster advancements in physical therapist education, practice, and research. The APTA also provides information and education to the public about physical therapy and how it is used to treat certain conditions.
|National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health|
|1 AMS Circle|
|Bethesda, MD 20892-3675|
|Phone:||1-877-22-NIAMS (1-877-226-4267) toll-free|
The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) is a governmental institute that serves the public and health professionals by providing information, locating other information sources, and participating in a national federal database of health information. NIAMS supports research into the causes, treatment, and prevention of arthritis and musculoskeletal and skin diseases and supports the training of scientists to carry out this research.
The NIAMS website provides health information referrals to the NIAMS Clearinghouse, which has information packages about diseases.
Other Works Consulted
McMahon PJ, Kaplan LD (2006). Clavicular fracture section of Sports medicine. In HB Skinner, ed., Current Diagnosis and Treatment in Orthopedics, 4th ed, pp. 210–211. New York: McGraw-Hill.
Mercier LR (2008). Fractures of the clavicle section of The shoulder. In Practical Orthopedics, 6th ed, p. 79. Philadelphia: Mosby Elsevier.
|Primary Medical Reviewer||William H. Blahd, Jr., MD, FACEP - Emergency Medicine|
|Specialist Medical Reviewer||Patrick J. McMahon, MD - Orthopedic Surgery|
|Last Revised||August 29, 2011|
|By:||Healthwise Staff||Last Revised: August 29, 2011|
|Medical Review:||William H. Blahd, Jr., MD, FACEP - Emergency Medicine|
Patrick J. McMahon, MD - Orthopedic Surgery
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